| NPI | 1972268357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LG0600X Nurse Practitioner, Gerontology (Licence: IN 71011950A) |
| Additional Taxonomies | 208M00000X Hospitalist (Licence: IN 71011950A) |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN 123456) | |
| 363LA2100X Nurse Practitioner, Acute Care (Licence: IN NA) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: IN NA) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: IN NA) | |
| Enumeration Date | 2021-11-01 |
| Last Update Date | 2023-11-15 |